LETATIA VANCE

SHREVEPORT, LA
NPI1063892453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  A10561)
Enumeration Date2015-06-01
Last Update Date2024-07-24
Business Address
LETATIA VANCE PA-C
2533 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118-3158
Phone number: 318-686-3770
Mailing Address
LETATIA VANCE PA-C
2533 BERT KOUNS INDUSTRIAL LOOP STE 106
SHREVEPORT, LA 71118-3158
Phone number: 318-686-3770
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